公开(公告)号：US20070123953A1

公开(公告)日：2007-05-31

申请号：US11698655

申请日：2007-01-26

申请人： Michael Lee ,  Steven Goetz ,  Nathan Torgerson

发明人： Michael Lee ,  Steven Goetz ,  Nathan Torgerson

IPC分类号： A61N1/32

CPC分类号： A61N1/37247 ,  A61N1/36082 ,  A61N1/36185 ,  Y10S128/903

摘要： A programmer allows a clinician to identify desirable combinations of electrodes from within an electrode set implanted in a patient that enable delivery of desirable neurostimulation therapy by an implantable medical device. The clinician may create neurostimulation therapy programs that include identified desirable electrode combinations. In some embodiments, the clinician may use the programmer to select a program, such as a program identified during a neurostimulation programming session, and direct the programmer to replicate the selected program. The programmer may change one or more parameters of the selected program, such as pulse amplitude or duty cycle, when generating the copy of the selected program. In some embodiments, the programmer may associate each of a plurality of programs identified during a neurostimulation therapy programming session with one or more program categories, and may automatically generate program groups that include two or more of the programs based on the program categories.

摘要翻译： 程序员允许临床医生从植入患者体内的电极组中识别电极的期望组合，从而能够通过可植入医疗装置递送所需的神经刺激疗法。 临床医生可以产生神经刺激治疗程序，其包括所识别的期望的电极组合。 在一些实施例中，临床医生可以使用编程器来选择程序，诸如在神经刺激编程会话期间识别的程序，并指示程序员复制所选择的程序。 当生成所选程序的副本时，编程器可以改变所选程序的一个或多个参数，例如脉冲幅度或占空比。 在一些实施例中，程序员可以将在神经刺激治疗程序设计会话期间识别的多个程序中的每一个与一个或多个程序类别相关联，并且可以基于程序类别自动生成包括两个或更多程序的程序组。

公开(公告)号：US20060265025A1

公开(公告)日：2006-11-23

申请号：US11414786

申请日：2006-04-28

申请人： Steven Goetz ,  Nathan Torgerson ,  Michael Lee

发明人： Steven Goetz ,  Nathan Torgerson ,  Michael Lee

IPC分类号： A61N1/00

CPC分类号： A61N1/37 ,  A61N1/36114 ,  A61N1/3706 ,  A61N2001/083

摘要： Techniques for performing lead functionality tests, e.g., lead impedance tests, for implantable electrical leads are described. In some of the described embodiments, an implantable medical device determines whether a patient is in a target activity state, e.g., an activity state in which lead impedance testing will be unobtrusive, such as when a patient is asleep, or capture information of particular interest, such as when the patient is active, in a particular posture, or changing postures. The implantable medical device performs the lead functionality test based on this determination. Additionally, in some embodiments, the implantable medical device may group a plurality of measurements for a single lead functionality test into a plurality of sessions, and perform the measurement sessions interleaved with delivery of therapeutic stimulation.

摘要翻译： 描述了用于执行用于可植入电引线的引线功能测试（例如引线阻抗测试）的技术。 在一些所描述的实施例中，可植入医疗设备确定患者是否处于目标活动状态，例如，其中导线阻抗测试将是不显眼的活动状态，例如当患者睡着时或捕获特定感兴趣的信息 ，例如当患者活跃时，处于特定姿势，或改变姿势。 可植入医疗装置基于该确定执行引导功能测试。 另外，在一些实施例中，可植入医疗装置可以将用于单个引线功能测试的多个测量分组成多个会话，并且执行与递送治疗性刺激交错的测量会话。

公开(公告)号：US20060265024A1

公开(公告)日：2006-11-23

申请号：US11414536

申请日：2006-04-28

申请人： Steven Goetz ,  Nathan Torgerson ,  Michael Lee

发明人： Steven Goetz ,  Nathan Torgerson ,  Michael Lee

IPC分类号： A61N1/00

CPC分类号： A61N1/37 ,  A61N1/36114 ,  A61N1/3706 ,  A61N2001/083

摘要： Techniques for performing lead functionality tests, e.g., lead impedance tests, for implantable electrical leads are described. In some of the described embodiments, an implantable medical device determines whether a patient is in a target activity state, e.g., an activity state in which lead impedance testing will be unobtrusive, such as when a patient is asleep, or capture information of particular interest, such as when the patient is active, in a particular posture, or changing postures. The implantable medical device performs the lead functionality test based on this determination. Additionally, in some embodiments, the implantable medical device may group a plurality of measurements for a single lead functionality test into a plurality of sessions, and perform the measurement sessions interleaved with delivery of therapeutic stimulation.

公开(公告)号：US20060195145A1

公开(公告)日：2006-08-31

申请号：US11404069

申请日：2006-04-13

申请人： Michael Lee ,  Steven Goetz ,  Nathan Torgerson

发明人： Michael Lee ,  Steven Goetz ,  Nathan Torgerson

IPC分类号： A61N1/05 ,  A61N1/00

CPC分类号： A61N1/37247 ,  A61N1/36082 ,  A61N1/36185 ,  Y10S128/903

摘要： A programmer allows a clinician to identify combinations of electrodes from within an electrode set implanted in a patient that enable delivery of desirable neurostimulation therapy by an implantable medical device. The programmer executes an electrode combination search algorithm to select combinations of electrodes to test in a non-random order. According to algorithms consistent with the invention, the programmer may first identify a position of a first cathode for subsequent combinations, and then select electrodes from the set to test with the first cathode as anodes or additional cathodes based on the proximity of the electrodes to the first cathode. The programmer may store information for each combination tested, and the information may facilitate the identification of desirable electrode combinations by the clinician. The clinician may create neurostimulation therapy programs that include identified desirable program combinations.

公开(公告)号：US20060229687A1

公开(公告)日：2006-10-12

申请号：US11352389

申请日：2006-02-10

申请人： Steven Goetz ,  Andrew Houchins ,  Jeffrey Keacher ,  Gary King ,  Kenneth Heruth ,  Roy Testerman ,  Michael Lee ,  Nathan Torgerson ,  Joseph Nolan

发明人： Steven Goetz ,  Andrew Houchins ,  Jeffrey Keacher ,  Gary King ,  Kenneth Heruth ,  Roy Testerman ,  Michael Lee ,  Nathan Torgerson ,  Joseph Nolan

IPC分类号： A61N1/18

CPC分类号： A61N1/36185 ,  A61N1/36071

摘要： In general, the invention is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. The stimulation pulses of the first and second electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, thereby allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find the most efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.

摘要翻译： 通常，本发明涉及用于在两个电极组合之间移动的技术。 第一电极组合的振幅逐渐减小，而第二或随后的电极组合的振幅同时递增地增加。 第一和第二电极组合的刺激脉冲在时间上交付给患者。 以这种方式，本发明提供了从第一电极组合到第二电极组合的平滑的逐渐变化，从而允许患者保持对刺激的连续感知。 在编程期间可以使用本文描述的移位技术来在不同的电极组合之间移动以找到最有效的电极组合。 另外，这些技术可用于在与不同刺激程序或程序集相关联的不同电极组合之间进行移位。

公开(公告)号：US20060259099A1

公开(公告)日：2006-11-16

申请号：US11401100

申请日：2006-04-10

申请人： Steven Goetz ,  Andrew Houchins ,  Jeffrey Keacher ,  Gary King ,  Kenneth Heruth ,  Roy Testerman ,  Michael Lee ,  Nathan Torgerson ,  Joseph Nolan

发明人： Steven Goetz ,  Andrew Houchins ,  Jeffrey Keacher ,  Gary King ,  Kenneth Heruth ,  Roy Testerman ,  Michael Lee ,  Nathan Torgerson ,  Joseph Nolan

IPC分类号： A61N1/36

CPC分类号： A61N1/37247 ,  A61N1/36071 ,  A61N1/36185 ,  A61N1/37252

摘要： The disclosure is directed to techniques for shifting between two electrode combinations. An amplitude of a first electrode combination is incrementally decreased while an amplitude of a second, or subsequent, electrode combination is concurrently incrementally increased. Alternatively, an amplitude of the first electrode combination is maintained at a target amplitude level while the amplitude of the second electrode combination is incrementally increased. The stimulation pulses of the electrode combinations are delivered to the patient interleaved in time. In this manner, the invention provides for a smooth, gradual shift from a first electrode combination to a second electrode combination, allowing the patient to maintain a continual perception of stimulation. The shifting techniques described herein may be used during programming to shift between different electrode combinations to find an efficacious electrode combination. Additionally, the techniques may be used for shifting between different electrode combinations associated with different stimulation programs or program sets.

公开(公告)号：US20070255339A1

公开(公告)日：2007-11-01

申请号：US11414533

申请日：2006-04-28

申请人： Nathan Torgerson

发明人： Nathan Torgerson

IPC分类号： A61N1/00

CPC分类号： A61N1/0534 ,  A61N1/0529 ,  A61N1/0551 ,  A61N1/3605 ,  A61N1/36114 ,  A61N1/36185

摘要： The disclosure is directed to techniques for delivering electrical stimulation for patient notification. An implantable medical device (IMD) may deliver patient notification stimulation via one or more device site electrodes, e.g., electrodes located proximate to an implant site for the IMD, configured as cathodes. Anodes for delivery the patient notification stimulation may be located in an electrode array that is provided by one or more leads and located distally from the implant site, e.g., an electrode array located at one or more target sites for delivery of stimulation therapy. In some embodiments, the IMD may inhibit the patient notification stimulation for a period in response to input from the patient, and then resume the stimulation at the end of the period. In this manner, the notification stimulation may be “snoozed” like an alarm clock. When the stimulation resumes, it may be different, e.g., more urgent, then prior to inhibition.

摘要翻译： 本公开涉及用于递送用于患者通知的电刺激的技术。 可植入医疗装置（IMD）可以经由一个或多个装置位置电极（例如位于IMD的植入部位附近的电极）来配置患者通知刺激，该电极配置为阴极。 用于递送患者通知刺激的阳极可以位于由一个或多个引线提供并且位于远离植入位置的电极阵列中，例如位于一个或多个靶位点处的用于递送刺激治疗的电极阵列。 在一些实施例中，IMD可以响应于来自患者的输入而抑制患者通知刺激一段时间，然后在该期间结束时恢复刺激。 以这种方式，通知刺激可以像闹钟一样“延后”。 当刺激恢复时，它可能是不同的，例如更紧迫，然后在抑制之前。

公开(公告)号：US20060020304A1

公开(公告)日：2006-01-26

申请号：US11184718

申请日：2005-07-19

申请人： Nathan Torgerson ,  Christopher Arnett ,  Steven Nelson ,  Allen Almendinger

发明人： Nathan Torgerson ,  Christopher Arnett ,  Steven Nelson ,  Allen Almendinger

IPC分类号： A61N1/08

CPC分类号： A61N1/37252

摘要： A medical system and method of establishing communication between a plurality of implantable medical devices and an external device. An identification command is sent transcutaneously to at least one of the plurality of implantable medical devices. The plurality of implantable medical devices respond to the identification command with an uplink response in one of a plurality of uplink time slots. The external device receives the uplink response from each of at least one of the plurality of implanted medical devices. The external device establishes transcutaneous communication to a selected one of the plurality of implanted medical devices based, at least in part, upon an order in time of which the plurality of implanted medical devices respond with the uplink response.

摘要翻译： 一种在多个可植入医疗设备和外部设备之间建立通信的医疗系统和方法。 识别命令经皮发送到多个可植入医疗装置中的至少一个。 多个可植入医疗装置在多个上行链路时隙之一中以上行链路响应来响应该识别命令。 外部设备从多个植入医疗设备中的至少一个植入医疗设备中的每一个接收上行链路响应。 至少部分地，至少部分地基于多个植入的医疗装置响应上行链路响应的时间顺序，外部设备建立到多个植入医疗设备中的所选择的一个的经皮通信。

公开(公告)号：US20060020306A1

公开(公告)日：2006-01-26

申请号：US11185525

申请日：2005-07-20

申请人： Timothy Davis ,  Leroy Perz ,  Nathan Torgerson ,  Carl Wahlstrand ,  David Hoffman

发明人： Timothy Davis ,  Leroy Perz ,  Nathan Torgerson ,  Carl Wahlstrand ,  David Hoffman

IPC分类号： A61N1/18

CPC分类号： A61N1/37252 ,  A61N1/3787

摘要： A system, method and implantable medical for concurrently providing a therapeutic output to a patient while communicating transcutaneously with an external device. The therapeutic output is provided to the patient with an implantable medical device wherein an electromagnetic signal is associated with at least one of recharging of a rechargeable power source and providing the therapeutic output. Bi-directional transcutaneous communication is conducted via via telemetry between the implantable medical device and an external device using a telemetry signal while the telemetry signal and the electromagnetic signal occur simultaneously.

公开(公告)号：US20050240244A1

公开(公告)日：2005-10-27

申请号：US11170497

申请日：2005-06-29

申请人： Robert Leinders ,  Nathan Torgerson ,  Marc Stein ,  Todd Goblish ,  Todd Heathershaw ,  John Rodriguez

发明人： Robert Leinders ,  Nathan Torgerson ,  Marc Stein ,  Todd Goblish ,  Todd Heathershaw ,  John Rodriguez

IPC分类号： A61N1/05 ,  A61N1/34 ,  A61N1/18

CPC分类号： A61N1/36071

摘要： Apparatus and method for independently delivering a plurality of therapy programs in an implantable medical device. A therapy controller configures the device to generate independent pulse trains associated with a plurality of therapy programs and dynamically configures the electrodes to deliver the independent pulse trains to the patient. Once configured, the implantable medical device delivers the plurality of therapy programs to the patient wherein the therapy programs may overlap in time.

摘要翻译： 用于在可植入医疗装置中独立地递送多个治疗程序的装置和方法。 治疗控制器配置该装置以产生与多个治疗程序相关联的独立脉冲序列，并且动态地配置电极以将独立的脉冲序列传递给患者。 一旦配置，可植入医疗装置将多个治疗程序递送到患者，其中治疗程序可能在时间上重叠。